392700561-7-16-2026-27-AS-LKIG-DWLM4F-20260803091639

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 392700561
Report Date: 07/16/2026
Date Signed: 07/16/2026 03:24:44 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/20/2026 and conducted by Evaluator Michael Bilger

COMPLAINT CONTROL NUMBER: 27-AS-20260520143048

FACILITY NAME:	J & R MAGSAYO HOME III		FACILITY NUMBER:	392700561
ADMINISTRATOR:	MAGSAYO, REDENTOR		FACILITY TYPE:	735
ADDRESS:	1528 VENETIAN DR		TELEPHONE:	(209) 598-6098
CITY:	STOCKTON	STATE: CA	ZIP CODE:	95207
CAPACITY:	6	CENSUS: 3	DATE:	07/16/2026
		UNANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Redentor Magsayo		TIME COMPLETED:	03:45 PM

ALLEGATION(S):

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Staff handled client in care in a rough manner
Staff hit client in care
Staff did not allow client in care to leave the facility

INVESTIGATION FINDINGS:

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On 7-16-2026 at 2:35pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegations noted above. LPA met with Administrator Redentor Magsayo and explained the purpose of the visit. During this investigation, LPA conducted interviews with four staff members and one client in care. Additionally, LPA conducted interview with additional witness. LPA also reviewed facility file documentation including staffing records, physician’s reports, and individualized program plans. LPA also reviewed additional investigation from outside agency as evidence which included additional staff and resident interviews.
Allegation: Staff handled client in care in a rough manner. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that inconsistent statements were made regarding an incident alleging that a staff member grabbed and pulled the arm of resident1 (R1). Interviews revealed statements that R1’s arm was grabbed, however, further statements revealed that no such incident occurred. {Cont. on 9099C}

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20260520143048

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: J & R MAGSAYO HOME III	FACILITY NUMBER: 392700561
	VISIT DATE: 07/16/2026

NARRATIVE

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Additionally, interviews did not reveal witnesses to the alleged event, and further investigation did not reveal corroborated evidence that such incident occurred. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED.

Allegation: Staff hit client in care. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that a statement was made of a staff member allegedly hitting a client. Interviews conducted revealed that a staff member tapped a resident's face during an episode of a seizure as an attempt to maintain alertness until emergency personnel arrived. Additionally, interviews conducted did not reveal any corroborated evidence of other actions involving staff members hitting clients in care. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED.

Allegation: Staff did not allow a client in care to leave the facility. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that resident1 (R1) was asked by a friend to move to another facility. Further interviews revealed that R1 did not wish to move and denied being verbally or physically prevented by staff from leaving the facility in any fashion. Additional interviews did not reveal any corroborated evidence that R1 or any other client was not being allowed to leave facility. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED.

An unsubstantiated finding means the allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Administrator and a copy of this report was provided.

SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:	DATE: 07/16/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/16/2026

LIC9099 (FAS) - (06/04)

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